Acharya Nagarjuna University

Expression Of Interest to be a Resource Person
For “ANU MOOCs”

Insert Scanned Copy of Pass Port Size Photograph

First Name (In Capitals)

Last Name/Surname

Date of Birth

Gender

Male Female

Mobile Number

E-mail ID

Designation

Qualifications

Subject of Teaching Proficiency

Teaching Experience (In Years)

Institution Working / Worked

Address

Name

House No.

Street

Landmark

Locality

City

District

State

Pincode

Land Line

Subject Specialization

Courses Willing to take up for ANU MOOCs

Bank Details

SB Account No:

IFSC code

Name of Bank

Name of Branch

Location of Bank

Declaration

I hereby declare that, the courses developed by me are of Original Work of mine and I shall take full responsibility of the issues of Copy Right or Intellectual Property Rights that would arise, if any. I shall acknowledge duely for any portion or part of content adopted from different primary or secondary sources. I assure that Acharya Nagarjuna University shall never be involved in any of the legal issues pertaining to the authenticity of the Course Content.

Resource Person Registration

Address

Courses Willing to take up for ANU MOOCs

Bank Details

Declaration